MISSOURI VALLEY AMBULANCE SERVICE; NPI #1134210180

Contact Information

MISSOURI VALLEY AMBULANCE SERVICE

306 N. COURTLAND ST.
CHAMBERLAIN, SD 57325

Phone: 605-234-4490
Fax: 605-234-4491
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for MISSOURI VALLEY AMBULANCE SERVICE

NPI Number 1134210180

LBN Legal business name MISSOURI VALLEY AMBULANCE SERVICE

Authorized official KATHERYN BENTON - (AMBULANCE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/27/2006

Last updated 11/08/2018 - About 8 years ago

Identifiers

SD	License #	0131
SD	Medicaid	9010752

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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